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04-7616 (SFD)o , BUILDING & SAFETY DEPARTMENT P:.Q�p Ox 1504 _ 4 (760) 777-7012 9 CALLE TAMPICO , FAX (760) 777-7011 - D ;I ..A, INTA,'YCALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 SAN 06 05 . BUILDING PERMIT" , Appf iPca4tMibn.Numbe.r 4. 04-0-0--0.07616 Date 12/07/04 ope rty Address-.-' . , 57`413 VIA -VISTA APN: Y 762-240-003-.33 3"00962 - Application description= '._. DWELLING -SINGLE FAMILY DETACHED' Property Zoning MEDIUM DENSITY•RES 'Applicati'on valuation .112634 - Owner `Y rCoritractor-`._ �• , - ----------------,- - - - --- x .*< - ---� ; .---.----•--� PUERTA AZUL PARTNERS DAVIS/REED CONSTRUCTION INCA 17700 SW UPPER BOONES FERRY RD- 169 SAXONY ROAD, STE.#105 SUITE 100L ENCINITAS CA 92024 °PORTLAND `y ; .ORS 97224 (760) 634-2350 WCC: r . STATE .FUND WC: WC298892004 06/12/05 • CSLB: 813480 10/31/06 CCC: B` -----=------.-=----- Structure' Information ------------==----------- Construction Type,. . TYPE V NON RATED Occupancy'Type. DWELLG/LODGING/LONG <=10 Flood Zone _ NON -AO FLOOD ZONE Other struct'info CODE EDITION 2001 CRC ## BEDROOMS 1.00 _ FIRE SPRINKLERS r NO = GARAGE SQ FTG 250.00 a» _tATI'O SQ FTG r 4'617. 00 NUMBER OF%UNITS 1.00 A 1ST, FLOOR SQUARE FOOTAGE 17,4 go, ---------. ------------ ---- --- ---- -- - -- ------ "� -;'- - -- -- ,� ..-s --- Permit BULLDING-r ----- �'P ERMTT Additional desc ' Permit Fee '685.00 Plan Check Fee 445.25 Issue Date Valuation. 112634 Qty UniCharge Per Extension _ BASE FEE 639.50 13.00,' 3.5000 THOU BLDG 100,001-500,000 -` 45.50 Permit MECHANICAL•.' Additonal-desc Permit Fee :78.50 Plan -Check Fee 19.63 Issue.Date Valuation 0 Qty Unit Charge <Per `< '' Extension -BASE'FEE. k r`". , r 1 15.00 1..00 9..,0000' EA .'�'MECH- FURNACE .<=,100K �'' '•9.00 1.00 9..0000 EA MECH B/C c=3HP7`100K'BTU 9.00 P.O. Box 1504 • �� VOICE (760) 777-7012 LA QUINTA, CALIFORNIA 92253 4 4 78-495 CALLE IFORNIMPICO FAX (760) 777-7011 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: _ �� 7449140 . Date: %•SDS Applicant: Applicant's Mailing Address: chltect or Engineer: OkMA —AFchitect or Engineer's Address: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm underI of perjury that I am licensed under provis4ofpter 9 (c mg v�th Section 7000) of Division 3 of the Business and Professionals Co e, and my Licerl�e i ' full rce and effect. U icense Class ense No. C00, /Date Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): U I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, avid who does the work himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). U I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , BA P.C. for this reason Date WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. have and ain ain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is iss ers' compensation inAueafre carrier and policy num a artier olicy Number y _ I certi at, m the performance of the work for which this 's issu , I shall not a $ere in any manner so a� become subject to the workers' compensation laws of California, and agre i ould become s the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lenders Name Lender's Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to and shall, defend, indemnify and hold harmless the City of La Ouinta, its officers, agents and employees for any act or omission related tot eing performe der or following issuance of this permit. 2. Any permit issued as a result of this application becomes rabion void if w notcommence within 180 days from date of issuance of such permit, orcessation of work for 180 days will subject permit to can1 certify that I have read this application and state that the above in ' ect. I agree t pl it all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to e t the above- io y for inspection purposes. Date r' ;E—V_;Signature (Applicant or Agent): Page 2 : Application Number "" 04-00007616 Date, 12/07/04 Qty Unit Charge -Per'Extension 6..00 6-.5000 EA : "., , MECH VENT FAN , : 39.0,0 "1.00 6.5000 EA MECH-EXHAUST HOOD .6.50 Permit ELEC-NEW RESIDENTIAL Additional-desc Permit Fee :, 80.90 Plan Check Fee 20.23 -Issue Date Valuation 0 Qty Unit -Charge" Per. Extension BASE FEE 1S.00 174.0.00 ..0350, ELEC"NEW."RES.- 1 OR,2 FAMILY 60,.9'0 250.00 .0'200.,' ELEC GARAGE OR NON-RESIDENTIAL 5.00 Permit PLUMBING Additional desc Permit Fee'146.25 P,lan'Check Feer. 3.6.56 Issue Date Valuation 0 Qty Unit Charge Per,Extension BASE FEE 1"5.00 13:00 -6.0000. EA ;': "PLB FIXTURE,,, , 78.00 1:00 15:0000,EA _ PLB BUILDING SEWER.' 15.00 1.00 7.5000 EA: PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA'. PLB WATER INST/ALT/REP 3.00 1:00 .'" 9.*0000 .EA " .:PLB .LAWN SPRINKLER: SYSTEM, . 9.00 5:00 ''."7500 EA-: PLB. GAS PIPE`>=5. 3.75 1.00. ---------------------------------- 15. 0000, EA PLB GAS METER 15.00 Permit-. -. GRADING:PERMIT Additiona°l desc ;.. Permit Fee 15.00 Plan Check Fee .00- " Issue Date .Valuation 0 Qty Unit Charge Per. Extension BASE FEE -15.00 Special Notes :and Comment s'4 - SFD,- LOT '33. PLAN 48,:'1.740 SF. PERMIT..: DOES'NOT -INCLUDE.BLOCK WALLS, POOL,; SPA " OR DRIVEWAY APPROACH, Other Fees ART IN PUBLIC. PLACES -RES :00 Al bIF COMMUNITY CENTERS=RES 97.00 CIVIC.. CENTER - RES 366.00 j Page 3 Application' Number 04-00.007616 Date 12/07/04 ----------------'---------=---=-------------=-------=------------------------, Other Fees ENERGY :REVIEW FEE 44.53 DIF FIRE PROTECTION -RES 97.00 "GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT.FAC -, RES 5.00 DIF PARKS/REC - RES 502.00 STRONG;MOTION (SMI) - RES 11.26 DIF"STREET.MAINT FAC --RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee ','summary. _ Charged Paid ,.. Credited Due Permit Fee Total 1005.65- 00 .00 1005.65 Plan Check Total 521.671 .0000 521.67 Other,Fee Total. `.24,60.79 0000 2460.79 Grand Total -'3988.11, .00 ,00` 3988.11 CERTIFICATE OF FIELD VERIFICATION &'DIAGNOSTIC TESTING.(Page Lof 1);; CFAR Project Address I Puerta Azul l Builder 7 Installer 57=413 ,Via Vista / La Quinta / CA / 92253 / " Puerta Azul Partners, c/o Pacific Security Capital Builder / Installer Contact Telephone Plan Number / Permit Number Mike Kwaske ' 7607027215 ' :1 HERS Rater - Telephone Sample Group.Number , Dave Bricker - CIHIEIEIRISO ID #CCN99380828 7607743676 7 Compliance Metho (Prescri •ve) Climate Zone 15 Certifying Sign " Date. Sample House Number - i - 33 Firm ,: HERS Provider Energy Driven Solutions CIHIEIEIRIS® Address .� City/State%Zip .,� . •.. i 48-755 Still Water Street Indio'/CA /92201 Copies to:. BUILDER, HERS PROVIDER AND BUILDING DEPARTMENT r HERS RATER, COMPLIANCE STATEMENT r .This house was ✓ Tested \ As the HERS rater providing diagnos is testing and field venfication", I ce�rtify.that the houses identified on this form comply with the, diagnostic tested compliance requirements`as,checked on this form. ✓ The installer has provided a copy of CF -6R (Installation Certificate): ✓ Distributions stem is full ducted'` n y y (.i.e.; doesnot use building cavities as;plenums,or platform returns in lieu of ducts). A ✓'Where cloth backed; rubber adhesive duct tape �s installed, masfic.and`drawbands are used in combination with cloth backed `rubber:adhesive duct tape to seal leaks at -duct connections,' ✓ MINIMUM REQUIREMENTS FOR DUCT,L-EAKAGE=REDUCTION COMP-LIANC-E•GREDIT Duct Diagnostic Leakage. Testing Results (Maximum 6% Duct Leakage) , System # I,. / .. €� • _ .,': Duct Pressurization Test Results (CFM @ 25 Pa) a r %•`� w �{ 7fi Measured Values Nest Leakage Flow i CFM 107 If fan flow is.calculated.as 400cfin/tonx number of tons e ter calculated value here _ If fan flow is measured`en�teYmeasur�evalue here Leakage Percentage (1.00 z Tested Leakage /,Fan Flow) _ 5.3 ' Check Box for Pass or Fail (Pass=6% or less) , ✓ Pass .' E Fail ` Residential Compliance: Forms Generated by CIHIElfIRISO.http://WWW.CHEERS.org August 2001' FEB -06-2006 04:40 PM P.10 4 CERTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC TESTIN ` CF -4R Project Title Date -33 LoT Project Addr Bullder Jame - Lf/S Builder Contect / Telephone Plan Number HERS ter! T e2"o one Sample Group Number C mg Signature Det6 Sample House Number oor— irm: HERS Provider: Street Address: el /YC City/State/Zip: Copies to: Builder, HERS Provider ER IANCE STATE ENT The house was: ❑ Tested *proved as part of sample testing, but was not tested As the HERS rater roviding diagnostic testin and field verification, I certify that the houses identified on this form coVEDIstributlon with the diagnostic Tested comp llance requirements as checked on this form. system is fully ducted (i.e., does not use building cavities as plenums or platform returns In Ileu 1,0 ducts) Where cloth backed, rubber adhesive duct tape is installed, mastic and drawbands are used in combination with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage Testing Results (Maximum B% Duct Leakage) Measured Duct Pressurization Test Results (CFM 25 Pa) values Test Leakage Flow 1n CFM If fan flow Is calculated as 400cfm/ton x number of tons enter calculated value here If fan flow Is measured enter measured value here Leakage Percentage (100 x Test Leakage/Fan Flow) _ Check Box Por Pass or Fall (Pass=6% or less) ❑ Pass Fall THERMOSTATIC EXPANSION VALVE (TXV) or Commission approved equivalent _. Yes ❑ No Thermostatic Expansion -Valve (or Commission approved equivalent) is Installed and Access Is provided for Inspection 13Yes is a pass ass" Fail ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1. O Yes O No ACCA Manual D Design requirements have been met (rater has verified that actual installation matches values in CF -1 R and design on plan. )j 2. 0 Yes Cl No TXV is installed or Fan flow has been verifled. 1f no TXV, verified fan flow matches design from CF -1 R. Measured Fan flow = ❑ ❑ Yes for both -1 and 2 )s a Pass Pass Fall